| Regimental number | 59302 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Webb's Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Brother, A Cook, Milton Farm, Combara via Coonamble, New South Wales |
| Enlistment date | 14 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 1 August 1919 |
